Family Health
The X Family
Family X consists of a father, mother, and two children (ages seven and nine). Both parents work as lawyers but the mother is able to work partially at home, which gives her more time to care for her children when they come home from school. Sometimes she works late and her husband takes over the 'second shift' of overseeing the children's homework in the evening.
Mealtimes are described as rushed by the mother. Both children participated in afterschool activities year 'round, including gymnastics, soccer, and cheerleading (the girl) and karate and baseball (the boy). Lunch and snacks tended to consist of prepackaged foods although the mother said that she did make an effort to get healthier snack bars and fruits, versus fast food. She said that she tried to put a healthy meal on the table for her family every night but was only able to cook from…...
mlaReference
Weber, J.R. (2005). Nursing diagnoses. Retrieved from:
Those who happen to be disproportionately affected by hypertension according to Elliot (2007) are African-Americans. Family history of BP also plays a prominent role in the prevalence of hypertension. In the words of Elliot (2007), "data consistently indicate that BP levels are hereditable." What this means is that studies have clearly demonstrated that an individual's risk of high blood pressure is largely dependent on whether or not there is a history of hypertension in his or her family.
Other contributing factors in this case include but they are not limited to education, diet, alcohol and tobacco use. Individuals who ingest high amounts of sodium effectively decrease or lower the ability of their bodies to retain fluid. This in turn triggers an increase in their blood pressure. It is also important to note that high levels of alcohol intake have been associated with increased risk of blood pressure. For this reason,…...
mlaReferences
American Heart Foundation. (2012, April 4). Potassium and High Blood Pressure. Retrieved April 23, 2013, from: http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/PreventionTreatmentofHighBloodPressure/Potassium-and-High-Blood-Pressure_UCM_303243_Article.jsp
Blonna, R., Loschiavo, J. & Watter, D.N. (2011). Health Counseling: A Microskills Approach for Counselors, Educators, and School Nurses (2nd ed.). Sudbury, MA: Jones & Bartlett Learning.
Centers for Disease Control and Prevention. (2010). How to Prevent High Blood Pressure. Retrieved April 25, 2013, from: http://www.cdc.gov/bloodpressure/what_you_can_do.htm
Elliot, W.J. (2007). Clinical Hypertension: A Companion to Braunwald's Heart Disease. Philadelphia, PA: Elsevier Health Sciences.
Family Health Assessment
Family Overview
The Lial Family is composed of three individuals. Christy, the mother, is 38 years old, and she has twin daughters, Imani and Nia, who are both currently eight years old. They live alone together in an apartment in Mexico, while the girl's father, Dean, lives in New York. Dean is actively involved in their lives, providing monthly financial support and often communicates with his daughters, but does not maintain a primary relationship with Christy. Dean is married and he and his wife have a newborn son. Christy and Dean maintain an amicable relationship and communicate openly about the girl's needs. Grandparents on both sides are involved with the family and the girls have regular visits with all parties, despite the fact that they currently live in Mexico and their relatives are in Toronto and Trinidad. The family is very spread out, but the daughters report positive connections…...
7-11. Increase the proportion of local health departments that have established culturally appropriate and linguistically competent community health promotion and disease prevention programs and third: 7-2. Increase the proportion of middle, junior high, and senior high schools that provide school health education to prevent health problems in the following areas: unintentional injury; violence; suicide; tobacco use and addiction; alcohol and other drug use; unintended pregnancy, HIV / AIDS, and STD infection; unhealthy dietary patterns; inadequate physical activity; and environmental health. (Healthy People, ND) Though there are clearly other substantive goals for this demographic there is a clear sense that these three objectives serve the population well, and of coarse can be expanded to include other risk factors as well as screening for homeless and preexisting problems related to poverty.
Healthy People "Leading Health Indicators" http://www.healthypeople.gov/LHI/lhiwhat.htm
Healthy People Search Objectives
http://www.healthypeople.gov/hpscripts/KeywordSearch.asp
eferences www.questia.com/PM.qst?a=o&d=5000210693
Burg, M.A. (1994). Health Problems of Sheltered Homeless Women and Their Dependent…...
mlaReferences www.questia.com/PM.qst?a=o&d=5000210693
Burg, M.A. (1994). Health Problems of Sheltered Homeless Women and Their Dependent Children. Health and Social Work, 19(2), 125. Retrieved September 2, 2007, from Questia database: www.questia.com/PM.qst?a=o&d=5001783266http://www.questia.com/PM.qst?a=o&d=5000210693
Fischer, R.L. (2000). Toward Self-Sufficiency: Evaluating a Transitional Housing Program for Homeless Families. Policy Studies Journal, 28(2), 402. Retrieved September 2, 2007, from Questia database: http://www.questia.com/PM.qst?a=o&d=5001783266
Healthy People "Leading Health Indicators" http://www.healthypeople.gov/LHI/lhiwhat.htm
Healthy People Search Objectives
Family Health
When considering nursing practice for families, there is a tendency to think of the family as a static entity, existing as it is when first encountered -- and as frequently described in this paper. But families are not static; they evolve as people change and age. For any nurse who is fortunate enough to provide services to a family over a period of years, the challenge is to ensure the focus of care is appropriate to the changing needs of family members (Edelman & Mandle, 2010). For example, delivering healthcare to a family during the period from 2000 through 2013 would require a practitioner to navigate some of the most extreme socioeconomic shifts experienced in several generations. The implications for healthcare are substantive when people loose significant percentage of their accumulated wealth, or when they lose their job, or when any number of variables that diminish the circumstances of…...
mlaReferences
Bialek, R., Duffy, G.L., & Moran, J.W. (2009). The Public Health Quality Improvement Handbook . Milwaukee: American Society for Quality, Quality Press.
Davidson, K.A. (2013, August 29). The most efficient health care systems in the world. The Huffington Post. Retrieved Edelman, C. And Mandle, C.L. (2010). Health promotion throughout the lifespan (7th ed.). St. Louis. MO: Mosby Co. And Rowe.
Kaakinen, J. Gedaly-Duff, V., Padgett-Coehlo, D., & Hanson, S.M., (2010) Family health care nursing: Theory practice & research (4th ed.). Philadelphia, PA: F.A. Davis ISBN 978-0-8036-2166-4.
Mui, Y.Q. (2012, June 11). Americans saw wealth plummet 40% from 2007 to 2010, Federal Reserve says. The Washington Post. Retrieved http://www.washingtonpost.com/business/economy/fed-americans-wealth-dropped-40-percent/2012/06/11/gJQAlIsCVV_story.html
Family Health Assessment of the Allen Williams Family
Nurses are frequently called upon to conduct family health assessments in order to develop wellness and family nursing diagnoses that can be used to improve family relationships and coping skills of family members (Smith, 2001). This paper presents the results of a telephonic family health assessment of the Allen Williams family (not their real name), comprised of Mr. Williams, aged 65 years (retired military), his wife, obin (a part-time bookkeeper), and their two adult children, Barry, aged 42 years (a certified management accountant) and Jerry, aged 40 years (an animal control officer). At present, Mr. and Mrs. Williams live in a modest three-bedroom ranch house in a Midwestern suburb and their two adult sons share a home in a nearby suburban community. The family health assessment of the Williams family was divided into eleven functional health patterns as follows: Values, Health Perception; Nutrition;…...
mlaReferences
Ade-Oshifogun, J. B. (2012, September). Model of functional performance in obese elderly people with chronic obstructive pulmonary disease. Journal of Nursing Scholarship, 44(3), 232-235.
Planken, M. J. & Boer, H. (2010, August). Effects of a 10-minute peer education protocol to reduce binge drinking among adolescents during holidays. Journal of Alcohol & Drug Education, 54(2), 35-38.
Smith, L. (2001, Summer). Evaluation of an educational intervention to increase cultural competence among registered nurses. Journal of Cultural Diversity, 8(2), 50-54.
Weber, J. R. (2014). Nurses handbook of health assessment (5th ed.). Philadelphia: Wolters Kluwer Health.
Family Assessment
Mr. T is the 95-year-old patriarch of the T. family. His wife and mother of their two children is Mrs. T, who is 92 years of age. Mr. And Mrs. T have two children, Wilma and Leon; ages 60 and 62 respectively. After a thorough debriefing about the nature of the family assessment as part of a community-nursing project, I received informed consent. They were assured privacy and confidentiality.
Initial Assessment
The universal health care requisites explored as part of the family assessment included food/nutrition, elimination, activity/rest, solitude/social interactions, hazards to human life, functioning, and overall well being. Both husband and wife were quick to affirm their lives are full of joy and fulfillment at having a family and raising two healthy kids. No substance abuse was reported, but the children in the family have been known to eat junk food. The family has several animals as pets including a rat…...
High Risk Family Health Assessment and Promotion
High-Risk Family Assessment Health Promotion
Children of alcoholics and of individuals who abuse other substances are reported as a population "without a clear definition." (COAF.org, 2012) ehavior in families where alcohol and other drugs are abused is characterized by unpredictability and unclear modes of communication with chaos defining the family life and home environment. The range of behavior is stated to be such that is "from loving to withdrawn to crazy." (COAF.org, 2012) There may be little in the way of structure and rules and these are at best inconsistent and even nonexistent in some homes. Children do not know that the behavior and mood of their parents is based upon the volume of alcohol they have consumed or the amount of drugs that they have taken and the result is children that are scared and lack security. These children spend much time worrying about…...
mlaBibliography
Adrian, Manuelle (2003) How Can Sociological Theory Help Our Understanding of Addictions? Substance Use and Misuse. Vol.38, No.10. Retrieved from: http://mona.uwi.edu/spsw/downloads/coursemat/SW24D/2008-2009/sem2/drug%20theories.pdf
Assessment of Families: Nursing Process Applied to Families as a Client (nd) Retrieved from: http://web2.aabu.edu.jo/tool/course_file/lec_notes/1001461_bhhhhn%20nju8mhyyuuuggggg46z.pdf
Fertman, CI, Allensworth, DD and Auld, ME (nd) What are Health Promotion Programs? Foundations of Health Promotion Programs -- Part One. Retrieved from: http://media.wiley.com/product_data/excerpt/51/04702415/0470241551.pdf
Structural Functionalism (nd) Retrieved from: http://www.umsl.edu/~keelr/3210/3210_lectures/structural_functionalism.html
Family structure can be defined as the number of members in a family and their organization. It is also the way in which the family members' interactions are designed. It is important that one knows the different roles of members in various family structures, and their descriptions in order to understand the way the members relate. I, for one, am a member of a nuclear kind of family. This is the kind that comprises a marital pair of opposite sex, and children, adopted or biological, sharing a home. The society regards nuclear families as the one in charge of shaping children's adaptation of the values of their society. This is primary socialization. Nuclear families also have the duty of stabilizing the character of adults, especially on the marital pair's emotional security. Our group has people from various family structures, which have different impacts on our social lives (Holborn and Steel,…...
mlaReferences
Coe, S. (2013). Cultural Competency in the Nursing Profession. Retrieved June 27, 2016, from http://www.nursetogether.com/cultural-competency-nursing-profession
Holborn, M., & Steel, L. (2015). Functionalism and "the" Family: A Summary. Retrieved June 27, 2016, from http://www.earlhamsociologypages.co.uk/functfamsum.html
Mc Laughlin, L., & Braun, K. (1998). Asian and Pacific Islander cultural values: Considerations for health care decision-making. Health and Social Work, 23 (2), 116-126.
Family Health AssessmentThe family interviewed (Z) has a traditional family structureone dad, one mom, five children, ages 2 to 9. They are racial white, American, middle-class, Catholic, and living in a typical American suburb, somewhat older (their house was built in 1959). The overall health behaviors of the family are essentially good: the wife/mother is responsible for evening mealsshe cooks using organic ingredients and focuses on protein and healthy fats, but uses a lot of butter and cream in foods, which may put a strain on the familys livers eventually; the parents try to limit sugars (no soda, sweet treats on occasion but not in great abundance). The dad is having some elimination issues at night, frequent urination, which he has self-diagnosed as a swollen prostate issue, and he takes saw palmetto for it (a homeopathic remedy). He does not want to see a doctor as he does not trust…...
mlaReferencesFitzgerald, M., London?Johnson, A., & Gallus, K. L. (2020). Intergenerational transmission of trauma and family systems theory: An empirical investigation. Journal of Family Therapy, 42(3), 406-424.Morrison, A. K., Glick, A., & Yin, H. S. (2019). Health literacy: implications for child health. Pediatrics in review, 40(6), 263-277.Vamos, S., Okan, O., Sentell, T., & Rootman, I. (2020). Making a case for “Education for health literacy”: An international perspective. International journal of environmental research and public health, 17(4), 1436.QuestionnaireValues, Health perception and management of Health:1.How would you describe your family’s current health status? Good2. What does the family do to maintain health? Eat right, exercise3.Describe a family goal towards maintaining good health: Avoid too much sugarNutrition:4. What is proper nutrition according to you? Organic meals, good fats, no corn syrup5.What is the current nutritional intake of the family? Basics of food pyramid6.Is it supportive of the wellbeing of the family? YesSleep/Rest:7.How much sleep do you and your family have? Enough 8.How many hours do you sleep in a day? 79.What do you do to make sure your body gets adequate rest? Sleep, exercise10.Are there any difficulties with falling or staying asleep? No11.Do you feel rested in the morning? YesElimination:12.Does any member of your family have excretion and bladder complications? Dad urinates frequently at night, think it is his prostate, takes saw palmetto for it13.How many children are undergoing toilet training? 214.Does your family have a history of serious health conditions? NoActivity/Exercise:15.What physical activities and exercise do you and your family engages in? Play outside, sports—basketball, soccer, hiking, bike riding16.How do you and your family maintain stable physical shape? Play outdoors together17.What times do you take the physical activities with your family? Mornings, afternoons, evening if light enoughCognitive:18.How does your family acquire information about health diagnoses? Reading19. Who makes the decision regarding healthcare for you and your family? Dad20.Do you ever get confused? NoSelf-Perception:21. How does your family feel they integrate into the community? Well22.How does your family describe the events that led to a change? Positive23.Do you feel hopeful about the future? Yes24. What do you think of yourself? ConfidentRoles and relationships:25. How does the family manage daily living and how are household task divided? Everyone has role, chores, duties, expectations26. Who is employed in the household and who holds financial responsibility? Dad27. Is it shared? NoSexuality:28. Individually are you comfortable with your partner and in discussing sexuality? Yes29. How do as a marriage couple, parenthood and relationships as lovers? PositiveCoping-Stress Tolerance:30. How does your family cope with stressful life events? Prayer31. What resources do you have access to or use already? ChurchSensory-Perception: 32.How is your eyesight? Good 33.Is taste a problem? No
Family Wellness Diagnosis, Nursing
I opted to interview a family of two parents (married heterosexuals) who have two children. Both children are in their late teens. Both parents work. She is a freelance writer and he is a sales clerk at a retail home goods store. Both are in their late forties. He is about 5'11; she is 5'6." Their heights and weights appear appropriate though he claims that at 180 he feels a little overweight. She is about 140. She is originally from Guatemala and he is from the mid-west of the U.S. The children are both boys. Bruce, age 19, is away at college. The other, Erick, graduated from high school last year and has been working at a local golf course while waiting to decide what he wants to study at a community college. I spoke with Bruce over the telephone for about 15 minutes. He confirmed that…...
mlaREFERENCES
Care Plan (no date). Assessment Using Functional Health Patterns. Downloadable from http://www.delmarlearning.com/companions/content/0766822257/apps/appb2.pdf .
Doenges, M. And Moorhouse, M.F. (2003). Application of Nursing Process and Nursing Diagnosis: An Interactive Text for Diagnostic Reasoning. F.A. Davis Company, Philadelphia, PA.
Life Nurses (2009). Nursing Assessment. Viewable at http://www.lifenurses.com/nursing-assessment/.
Family-focused Functional Health Pattern Questions:
Specific recommendations for family therapists who employ parent training techniques are offered.
Summary and Conclusion
While Rogers does not completely define precisely the 'human' it is easily understood to be that of all aspects of the individual therefore, the environmental/ecological interaction theory, while not perfect is a good basis for the provision of healthcare to families by the nursing professional. Every aspect of the lives of a family illustrated through the interactions between the individuals and the community, neighborhood, place of employment, daycare institutions or school, laws, safety precautions, travel, mode of travel, mode of living, housing environment and indeed all elements expressed by the Macro, Micro, Meso, and Exo Levels effect the individuals. The individuals affect the environment and the elements contained therein as well through either actions or even inactions. These two facts clearly demonstrate the validity of the theory and the theoretical framework base described in this theory.
ibliography
Sandelowski…...
mlaBibliography
Sandelowski M. Troubling distinctions: a semiotics of the nursing; as cited by Joan Engebretson in Document entitled Hands-on: The Persistent Metaphor in Nursing, Holistic Nursing Practice Vol.16 No.4 07-01-2002 ISSN 09979311.
The Ecological Theory (nd) Online available at www.unt.edu/cpe/module1/blk1.htm
The Theoretical Matrix for a Rogerian Nursing Practice" by E.A.M.Barrett 2000, Theoria: Journal of Nursing Theory, 9 (4) p.3-7. Copyright 2000 by the Swedish Society for Nursing Theories in Practice, Research, and Education. Reprinted with permission. http://medweb.uwcm.ac.uk/martha/theory.htm
Meyers, S.A. An Ecological Approach to Enhancing Parenting Skills in Family Therapy "http: Kluwer Academic Publishers. http://www.ingentaconnect.com/content/klu/coft/1998/
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland and the impact of the lack of financial resources. The…...
mlaPotter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
Health and Social Justice Issue in Saharan Country
Mali occupies the fourth position among the poorest nations of the world. Mali is still plagued by a multitude of financial tribulations with an economy in shambles, the country's liability approximately equivalent to its GDP, at the mercy of the international donor groups, insufficient revenues of the state exchequer and pressure from various coterie groups voicing their demands. (Mali Human ights Practices: U.S. Department of State, 1994) However, at the same time it a nation that boasts of a rich and hoary tradition. It is popular as a country marked by its multihued varied populace and harmonic tunes. Currently, it is confronted with a massive menace like AIDS, Noma and a host of tropical diseases. Mali has the world's lowest adult literacy rate of less than 25%. The country's education system is inadequately formed, especially at the primary stage. A United Nations report…...
mlaReferences
Condom Vending Machine. (March 01, 2004) "Mali, AIDS and Condoms" Initial Research Report. Retrieved at Accessed on 11 July, 2004http://dtm.media.mit.edu/dtm/dtm04/projects/condom/archives/000145.html.
Dao, S. (Jan 7-8, 2004) "HIV Treatment in Mali, PNLS/GAIA" AIDS Vaccine Conference, Bamako, Mali.
Johnston, Timothy; Faure, Sheila Dohoo; Raney, Laura. (June 1998) "The World Bank and the Health Sector in Mali" Report No. 18112.
Mahe A; Prual A; Konate M; Bobin P. (Sep-Oct, 1995) "Skin Diseases of Children in Mali: A Public Health Problem" Tropical Medical Hygiene. Volume: 89: No: 5; pp: 467-70
Heritage Assessment Tool
Benchmark assessment
Heritage Assessment Tool: Cultural values and health beliefs
Cultural sensitivity is an integral part of effective nursing. Although the definitions of concepts such as 'health' and 'wellness' might seem on their surface to be self-evident, these notions are, in fact, highly mutable and particular to the individual and his or her culture. Cultural insensitivity can result in patients becoming alienated from the medical system and this results in poorer, ineffectual care. One of the reasons instruments such as the Heritage Assessment Tool can be so useful is that it can be a clear and efficient way to establish the culturally-contextual health beliefs of a patient whose experiences and values that are different those of the physician, nurse, or other healthcare provider treating the patient.
The first family I interviewed was a Chinese-American household. Although the family was relatively assimilated and the children were second-generation residents of the U.S. that…...
1. The Importance of Family in Today's Society
2. Building Strong Family Bonds: Tips and Strategies
3. The Evolution of the Modern Family
4. Nurturing Family Relationships: Communication and Conflict Resolution
5. Family Dynamics: Roles, Responsibilities, and Expectations
6. The Role of Extended Family in Child Development
7. Coping with Family Transitions: Divorce, Blended Families, and Adoption
8. Family Traditions and Rituals: Keeping the Bond Strong
9. The Impact of Technology on Family Communication and Relationships
10. Balancing Work and Family Life: Strategies for Success
11. The Influence of Family on Individual Identity and Self-esteem
12. Exploring Cultural Differences in Family Structures and Values
13. The Role of Parenting Styles in Shaping....
Improving environmental management practices in Sitio Parola can positively impact family health in the following ways 1. Reduced air pollution Implementing cleaner technology and reducing emissions from industrial activities can lead to improved air quality. This can lower rates of respiratory illnesses such as asthma and bronchitis among residents. 2. Access to clean water Proper management of water resources and implementing measures to prevent water pollution can ensure that families have access to clean and safe drinking water. This can reduce the risk of waterborne diseases such as diarrhea and cholera. 3. Waste management Proper waste management practices such as....
Environmental Management Practices and Their Impact on Family Health in Sitio Parola, Macabalan, Cagayan de Oro City
Introduction
Environmental management practices play a crucial role in safeguarding public health and well-being, particularly in underserved communities like Sitio Parola, Macabalan, Cagayan de Oro City. This literature review examines the potential positive impacts of improving environmental management practices on family health in Sitio Parola.
Air Quality and Respiratory Health
Polluted air, often caused by inadequate waste management, can trigger respiratory ailments such as asthma, bronchitis, and pneumonia. Implementing proper waste disposal systems and promoting clean air practices, such as reducing indoor air pollution from cooking stoves,....
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